DR. ROGER AMICK M.D.
NPI 1417964214
Specialist in Little Rock, AR

Q: What is Roger Amick's NPI number?

The NPI number for Roger Amick is 1417964214. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Q: What is Roger Amick's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: Is Roger Amick enrolled in Medicare?

No. Roger Amick has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Roger Amick was last updated on March 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 02, 2006Opted out of Medicare · through Oct 1, 2026

4 EXECUTIVE CENTER CT, LITTLE ROCK, AR 72211(501) 448-0060(501) 448-0066 Get Directions Write a Review

NPPES record last updated: March 18, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Roger Amick M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ROGER AMICK M.D. (NPI 1417964214) is an individual specialist in Little Rock, Arkansas, licensed in Arkansas (N-8191) and active in the NPI registry since August 2006. He has opted out of Medicare through October 1, 2026.

NPPES Registry Identity

NPI1417964214

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. ROGER AMICKCredential: M.D.

Location Address4 EXECUTIVE CENTER CTLittle Rock, AR 72211-4487

Mailing Address4 Executive Center CtLittle Rock, AR 72211-4487 · (501) 448-0060 · Fax (501) 448-0066

Phone(501) 448-0060

Fax(501) 448-0066

Sole ProprietorYes

Enumeration DateAugust 2, 2006

Last NPPES UpdateMarch 18, 2013

✔ NPI 1417964214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in AR · N-8191

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

4 EXECUTIVE CENTER CT, Little Rock, AR 72211

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Other Identifiers 4

Other55845AR · Medicare

Medicare PIN558456738AR

OtherP00411837AR · Medicare Railroad

Medicare UPINC12797AR

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Roger Amick M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2020 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2020

Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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